Monthly Archives: May 2012

Eureka – It Does Exist! Cord Blood Donation


Posted on May 31, 2012 by

Last week I wrote an article on banking your menstrual blood and while I was doing the research for it, I made a phone call to ask a few questions.

About 2 ½ years ago, I was pregnant and looking for someone to take the cord blood. (I’m a organ donor, registered for bone marrow donation, and would even give a kidney to someone in need. If I’ve got it and can give it, I will.) Even though I’d received many promotional materials for widely-known cord blood banking facilities, none of them would take my cord blood. Not for free, not for research, no, no, no, was the answer I kept getting. I didn’t want to bank it. The cost was too high. So on a whim, I decided to ask CryoCell, the company I was on the phone with about menstrual blood banking, if they took cord blood donations either for other families in need or for research purposes. You see, I’m pregnant again and just can’t bear the thought of that precious cord blood and all of the miracles it can create becoming biomedical waste. Imagine my surprise when the answer was YES.

Yes, I can donate the cord blood to them. Yes, they will come to the hospital and get it. Yes, they will include all of the instructions in the packet they are sending in a few weeks. Granted, this facility is in my county so that might have something to do with the ease of donation, but either way, this is one happy momma. And apparently, I’m not the only mom who’s had this idea before. When I changed my Facebook status to “I finally found a company that will accept cord blood donation,” I got comments like, “I wish I had known,” and “I want the details,” and “I searched for months 7 years ago when I was pregnant – that industry has come a long way.”

If you think that I sound like an advertisement for CryoCell, rest assured that I have no financial stake or personal ties to the company. I’m just impressed that they’ll accept my donation. To see a list of conditions cord blood can be used for, click here. I hope that a family can use it, but research is almost just as important to me. Maybe they’ll make an important advancement in medicine that will, in turn, benefit my family someday.

If you’re interested in banking cord blood or menstrual blood or want to explore cord blood donation in your area, try CryoCell first (because I took the leg work out of it for you) OR do your own research. There are plenty of other blood banking companies and various types of donor registries out there. If you want to donate cord blood, remember that once you make the donation, you will also sign away all rights to that blood.

Feronians, would you consider donating your cord blood?

Natural Family Planning, or How Fosgood Finally Got Pregnant


Posted on May 30, 2012 by

So, I was finally ready to get pregnant. This was pre-internet so I actually had to find books on the subject or talk to people for information. I decided to try natural family planning to optimize the chances by tracking when I was most likely to be ovulating.

For those of you not familiar with this method, it has been around for centuries and is the only one approved by many religious organizations who forbid any other method of contraception. The premise is that by charting your cycle using a calendar and the change in cervical mucus and temperature, you are able to predict when you ovulate and can abstain from intercourse during that time. (If you’re interested, find out more information on the Planned Parenthood website.)

So armed with my new thermometer and fertility tracking chart, I got to work. Every morning for months, I would grab for the thermometer as soon as I was awake enough to remember and diligently record my morning temp on my chart. In theory, your body temp goes up a bit before you ovulate and stays that way until your next period. This never seemed to happen, but I did discover that my waking temperature, even in Florida, was about 95 to 96 degrees. No wonder I fell in love with the warmth of Florida when I visited from upstate New York during spring break in February. I’m just a few degrees above qualifying to be reptilian.

I also checked my cervical mucus every morning – a process not for the squeamish. Besides stirring your finger around inside your vagina gathering mucus, you then have to examine the product between the inserted finger and another one to check the consistency. Here’s what our Planned Parenthood pamphlet Tracking Your Fertility Pattern to Prevent Pregnancy has to say:

 “Normal mucus is cloudy and tacky. It will become clear and slippery a few days before you ovulate. It will also stretch between your fingers. This happens on your most fertile days. These will be the tacky and cloudy and wet and slippery days after your period.”

Apparently my cervical mucus is also abnormal. I could rarely see that drastic a change and my husband got really tired of trying to help me decide if my mucus was cloudy, tacky, clear or sticky.

Despite my best efforts and 11 months of careful notes and charting, no pregnancy. Inching my way into my thirties at a time when 35 was considered old to begin a family, I became a bit panicky and decided to visit a fertility specialist. Since my husband was even more ancient than myself and heading into his mid-forties, we figured maybe his sperm count was the problem – turns out his count was about double what was normal. After carefully examining my charts, the doctor suggested we have more sex earlier in the month. We had been saving ourselves for the middle of the month around day 14 just to make sure we had a full load when I was most likely to ovulate. But the very next month, despite my husband claiming I was trying to kill him, we conceived.

On the other hand, one of my midwives had used this method to prevent pregnancy. She had even abstained the entire week before when she was supposed to be in “the danger zone” since she already was the mother of 3 and not planning any more. By the time I delivered, she was 5 months pregnant with number 4.

Before you rely on this method, which is reported to be 74 – 99% effective, ask yourself, “How much do I want to become pregnant?” If the answer is absolutely not, I would strongly suggest you look for a more reliable method.

Menstrual Cramps: Help, My Uterus is Trying to Kickpunch Its Way Out Of My Body


Posted on May 29, 2012 by

I started getting my period I was 11, and the time it started until when I was 18 years old was a roller coaster of agony. That sounds dramatic, but let me tell you, if anything I’m being understated.

My period came when it felt like it, and the only warning was pelvic pain and nausea that could show up an hour before or 3 days before. The first 2 days were hell. I spent hours crying in bed doubled over and rocking back and forth until I finally fell asleep. I once got taken out of school in a wheelchair because the cramps were so bad I couldn’t walk. Another time, I took 1, 2, then 3 pills from a left-over bottle of Naproxen and when none of them made even a dent in the pain, I kept taking more pills out of desperation until I passed out (please don’t ever do this).

Finally, when I was 18, my mom said, “Well I guess I could take you to get on the pill.” I asked, “Why, will that help?” Oh, naive 18-year-old me. Oh boy, did it work. I got put on a common birth control pill and it was an automatic transition from “Oh god, why?” to “Gee, is it 7 o’clock on a Wednesday morning already? I didn’t even notice.”

Dysmenorrhea or really painful periods is a big problem for a lot of women. It usually starts when our periods do, and dwindles away when we get older. Painful cramps do not necessarily indicate an underlying medical problem, but regardless you do not have to suffer. Here’s some tips:

Exercise: Those of you with cramps like I had are probably already rolling your eyes, because when your uterus is throwing a temper tantrum, you do not want to do anything other than lay in bed and maybe yell at people. Trust me. For cramps, walking is really good, crunches are better. Lie on your back and do the bicycle. You can alleviate pain and get buff; it’s a win-win. Of course, these cramps may last for hours, and no matter how much of a bad ass you are you probably can’t do crunches for hours on end. But regular exercise throughout the month, not just exercise at the onset of the cramps, will also help with cramps, so you can prepare in advance.

Heating pads: Heat applied to your lower abdomen is really effective at alleviating cramps. You can invest in a plug-in pad or you can buy the disposable ones you hide inside your clothing (I recommend the Thermacare brand). The plug-ins are more economical, the disposable ones you can wear invisibly to work or school. Be mindful of safety–please don’t burn yourself, and if you’re using the electrical kind, it’s best not to use them at bedtime. Try a hot water bottle instead!

Ibuprofen. Anti-inflammatories are the best pharmaceutical remedy for cramps, and over-the-counter options like ibuprofen help out with cramps a lot. Motrin, Advil, and (some) Midol all contain ibuprofen, so be careful if you have a drug allergy. Also, make sure to read the recommended and maximum dosages on the bottle and don’t go over them–if it’s not working, don’t overdo it, just try something else. Also, if your period is unpredictable, consider keeping some on hand so you don’t find yourself short–it’s best to start taking this before your cramps get really strong.

Birth control. Any hormonal birth control will most likely alleviate your cramps, though your success may vary. Some women will have to experiment a bit before finding the kind that makes their periods regular and less crampy without side-effects like sore breasts or nausea. However, because when you are on a combined hormonal contraceptive you don’t ovulate, your bleeding is often lighter and your cramping is minimal.

Keep in mind, if you have previously had manageable periods and suddenly start having severe pain, then it’s time to call your doctor. Endometriosis or infection are a possibility.

Feronians, do you have any other helpful tips for those of us with angry uteruses? What have you tried that’s worked?

Fun Friday: Pin, Pin, Pinterest


Posted on May 25, 2012 by

Happy Friday! We hope you have a great Memorial Day weekend – stay safe out there, OK?

I have to admit, for this fun Friday, we’re going to do some shameless plugging.

Have you visited our Pinterest page? We’ve got a selection of our “choice reads” there – the best books we recommend on sex and everything else – lots of safe sex facts, and some amazing images. Pinterest fans, consider giving us a follow!

Quick Tips on Choosing Prenatal Vitamins


Posted on May 24, 2012 by

If you are thinking about becoming pregnant or recently found out you are pregnant, then you need to take a daily prenatal vitamin. As always, it is a good idea to check with your physician before taking a new medicine. When looking at the sea of choices at your local pharmacies it can be overwhelming. Most medical providers are now recommending a prenatal with DHA. Here are a few things you can do to ensure you are choosing a good prenatal vitamin:

  • Ask the pharmacist which brand she would recommend and make sure it is third party tested. This helps to ensure the potency level listed on the bottle is accurate and is free of contaminants and/or heavy metals.
  • Make sure that it is enteric coated to prevent a fishy aftertaste. This is something you definitely don’t want when you are pregnant and possibly experiencing nausea.
  • Once you have started prenatal care, ask your medical provider if you should continue to take your over-the-counter vitamin or start taking a prescription. If you can, bring your OCV with you to your first visit to ensure it contains the correct amounts of folic acid, iron and calcium with D3. Here’s a more detailed description of the exact amounts of each vitamin and mineral.
  • Many people have sensitive stomachs and may need to also look for a prenatal that does not contain artificial colors, flavors or preservatives.
  • Some people have a hard time swallowing pills or feel nausea during the first trimester when taking a vitamin. You can contact your local medical provider for help choosing a different prenatal or try a gummy, liquid or chewable vitamin.
  • It is important to remember that a vitamin is a supplement and should be used in addition to a diet that contains lots of fruits, veggies (especially leafy greens for calcium), and good sources of protein.

Your Monthly Miracle? Banking Your Menstrual Blood


Posted on May 23, 2012 by

When you’ve been in your career field for a long time, it is rare to come across information that you’ve never heard of before. That’s what happened when I ran across a brochure titled, “Your Monthly Miracle: Storing Menstrual Stem Cells.” Seriously?

This news surprised me three times over. #1) It never occurred to me that menstrual blood has stem cells in it. #2) I didn’t know that stem cell research was already happening with menstrual blood. #3) I never knew that there are companies out there that are already storing it (and in my own county, no less!)

CryoCell International’s brochure reads,

“Menstrual blood contains unique stem cells that express multipotent markers of both adult and embryonic stem cells. These menstrual cells multiply quickly and can differentiate into other types of healthy cells including heart, nerve, bone, cartilage, and fat. This is the first time researchers have found an adult stem cell that is recurring and readily accessible. Menstrual stem cells can be easily harvested in an affordable, painless and non-invasive manner, and have vast potential in regenerative medicine.”

Wow. I had no idea. I was so incredulous that I emailed our Medical Director to see if this could really be true. Yes, she confirmed, and added that much more research will need to be done before these cells can be used in humans. So far, the studies on mice and rats have focused on diabetes, heart disease, stroke, neurodegenerative diseases, and ischemic wounds. It’s still early, but the results of these studies are promising.

If you want to store your menstrual blood, expect to pay about $4,000 for 25 years’ worth of storage. Collection is easy, much like the Diva Cup that our own E.G. Hanna has discussed. I called the company to ask a few questions and was delighted to get a personable and knowledgeable representative on the line. One of my questions resulted in an answer that deserves its very own blog post – more on that next time. Let’s just say that I’ve searched for that answer for years so I’m pumped to finally have an answer … and that the answer is exactly what I wanted to hear. I mean, how often does that happen?

Imagine the possibilities! Now, Feronia friends: would you ever consider banking your menstrual blood?

Paragard, the Interuterine Contraceptive: A Testimonial


Posted on May 22, 2012 by

You might have read Firdaus’ post a few weeks ago, talking about her great experience with Mirena. Today, I’m going to talk about my great experience with the other intrauterine contraceptive: Paragard.

I’d been on hormonal birth control for 12 years, and was looking for a new kind of birth control. While the pill had decreased my horrific menstrual cramps, they were thankfully fading away as I got older and I wasn’t liking the mood swings that hormonal birth control sometimes gave me around my period. I had also met a delightful gentleman who was (and still is) my long-term partner and we were ready to have condom-free sex (after both of us being tested for STDs, of course!) and I was searching for an incredibly effective method of birth control that I wouldn’t have to remember to take on the hour – because, quite frankly, I wasn’t the best at it.

Enter Paragard: a non-hormonal, copper intrauterine device that is good for ten to twelve years with a 99.3% effectiveness rate.

In January 2011, I went into Planned Parenthood for my Paragard insertion appointment. Being the kind of person I am, I’d done my research: the insertion of the intrauterine device was supposedly going to be painful. I’d taken ibuprofen before the appointment and the health assistant was kind enough to hold my hand during the insertion which, yes, was indeed painful. However, once the insertion was over, the pain was done. I had light cramping for about two hours after the insertion and that was it. I waited a few days before I had sex with my partner and he felt the strings once or twice; they were too long for me so I had them cut about a month after insertion and haven’t had a problem since.

The only thing that I was concerned about with Paragard was the possibility for the increase of menstrual cramps after insertion and that did happen for the first year; there was one heavy day of cramps during my period, but honestly? It wasn’t nearly as bad as the menstrual cramps I’d had before. My period is a few days longer than it used to be, but for the peace of mind Paragard gives me? I can live with that.

So, a birth control method that I don’t have to replace until 2021, that I don’t have to worry about taking every day, that is one of the most effective methods of birth control, and that cost me under $500? I love Paragard and recommend it to everyone.

Is Paragard right for you? Or is Mirena right for you? Only you can figure that out – try out Planned Parenthood’s My Method tool to figure out the best birth control for you.

Media, Surgery, and Body Image: Loving Your Vulva Isn’t Easy Nowadays


Posted on May 21, 2012 by

Disclaimer: Most of the links in this article link to images or articles that are not safe for work, so please use discretion!

This ad has been everywhere in the blogosphere lately. We open with an attractive, light-skinned Indian couple sitting on a couch, the man sipping his coffee and ignoring his wife, who looks despondent and lonely. Then, she jumps in the shower, uses her special wash for “fairness and freshness,” and when she returns it is all smiles and spinning in his arms in the living room. The gist of it is: your vagina must be fresh enough (and what does that even mean, really?) and also light enough in color in order to get approval and love. Colorism, particularly rampant in Indian society, really deserves its own post and I’m not well-equipped to discuss it in this one. Pam Spaulding wrote an article about the colorism in the ad and the damage skin whitening products can do at Pam’s House Blend. You can also read this excellent post on skin bleaching and colorism in India at Bitch Magazine. As for me, I’m fascinated by this commercial not only because of the colorism, but because its another entry in the long social trend of teaching women that their vaginas are incorrect in some way, and must be corrected in order to win the love of a man (and, therefore, by happy). The two big social forces at work here – shame over your anatomy and the need for male approval – are long-standing toxic messages that have been around for a while. Even the fact that douche is still on the market is an ever-present indicator of our culture’s issues with our vaginas – though I guess I’m somewhat grateful the advertising has become more about vague references to freshness and summer and less about getting your easily-disgusted-by-vaginas husband to love you again. Back in the ‘50s, Lysol was advertised as douche, with print advertisements almost identical to the ad above:

(Of course back in the day the same tactic was employed to sell everything, even coffee – If you’re into it, you can find more advice for women from that era in Lynn Peri’s excellent book Pink Think: Becoming a Woman in Many Uneasy Lessons.) To get back on track, the cultural pressure to have a perfect body has had a strong effect on how we feel about our vaginas and our vulva’s appearance, maybe because it’s an area of our bodies we don’t easily have a way to compare to others and see what’s normal. When we do see images of vulvas in our society, they usually have been Photoshopped to meet a particular image.

In fact, Australia has been in the news recently because its new Classification Guidelines disallow explicit depictions of the vulva, preferring them to be, to use a common pornographic magazine term, “healed to a single crease.” What they mean is, a vulva must not have visible labia, only a small crease may be visible. The phrase itself makes me crazy: healed!  As if an average vulva with labia is damaged or sick! I was willing to make the argument that Australia’s rule is simply prudish, that maybe they just find non-edited vulvas too graphic, until I learned that the same board also banned the appearance of 18+ but young-looking women with small breasts in adult publications, apparently due to concerns about these women encouraging pedophilia. Given that the growth of labia minora is a part of puberty, if they are so concerned with the maturity of their performers why would they insist on editing vulvas down to a more pre-pubescent, labia-free state? I’m not buying it. This is just another area where a Photo-shopped body has become the aesthetic norm, and women of Australia will have more opportunity to find their bodies as they are to be wrong, or unappealing.

So, say you look at porn or advertisements, and then look at your body and think, “Something’s wrong with me!” Don’t worry, there’s surgery for that. Labiaplasty is the practice of reducing the size of the labia minora so that they are smaller than the labia majora (diagram here for those uncertain exactly what I’m referring to). To be fair, some people may have labia minora long enough to cause discomfort, particularly while participating in sports or wearing tight fitting clothes for example, and for them this surgery may improve their quality of life. But there are also a lot of people who seek the surgery do so because they think something is wrong with the appearance of their vulvas as they are. A 2009 Guardian article talks to women and cosmetic surgeons and found that many “patients are not willing to accept that the physical appearance of their vulva is perfectly ordinary and healthy,” referring to their appearance as “hypertrophy” if the labia minora extend past the majora, although there is nothing pathologically wrong with them.

I personally am a supporter of body modification, and ultimately I support a person’s right to alter his/her body to reflect how they feel it should look. However, I also firmly believe that we don’t make choices in a vacuum and I think it’s worth examining what social forces are at work encouraging us to make some decisions over others, and whether we are harming ourselves by changing our bodies to fit a narrow cultural ideal. It’s clear that just like our stomachs, our skin and our noses, our vulvas are another area we are supposed to measure and compare against other (photo-edited) bodies. Ultimately, the problem here isn’t vaginal lightening creams or shortening our labia, it’s the pervasive cultural message that your vagina must meet some beauty standard (or men won’t love you).

So how do we fight back? The path to loving our bodies in all their variants is long and difficult for some of us. But if you’re curious to see if you’re normal, or want to see the wide variety of colors, sizes and shapes that vulva and labias come in, it may help to check out a body project like Vulva101. In their words: “Designed to help society overcome its fear and shame regarding vulva, Vulva 101 features close-up photos of one hundred and one women’s vulvas, ranging from 18 to 65 years old. Each page focuses on one woman’s vulva from three different angles. It also highlights the thoughts, feelings and experiences of the women involved, and the natural, unique beauty of the female form.” Projects like these are great for combating media images of the vulva as having only one appropriate form.

So, Feronia readers, what do you think? Would you get labiaplasty? Have you ever been worried a sexual partner would think your vulva looked wrong, or felt like your vulva looked wrong after comparing it to someone else’s? Let’s talk vulvas.

Fun Friday: How Sex Works Winners (and a funny commercial, too!)


Posted on May 18, 2012 by

How Sex Works, by Dr. Sharon MoalemHello kittens! We here at the Feronia Project hope you have a great – and safe – weekend.

Remember our contest from two weeks ago, giving away 5 copies of How Sex Works?

Well, here’s our winners: AmberB, AllyB, Rebekah, Taylor B & JP, you all won a copy – congratulations! Email me at eleanor@feroniaproject.org with your addresses and we’ll send them right along!

For those that didn’t win (and wow, did we love your sweet comments about Feronia! We hope you feel the love coming back to you.), we’ve got something fun for you too today: an awesome French condom commercial. It’s almost as good as their pain au chocolats.

Self-Injecting Depo: Our Affiliate’s First Research Study


Posted on May 17, 2012 by

In this month’s issue of the reproductive health journal Contraception, our very own research department has published its first research project. The study, “Self-Administration of subcutaneous depot medroxyprogesterone acetate for contraception: feasibility and acceptability,” followed 50 women for 1 year as they self-injected the contraceptive into their thigh or belly. (Find a link to the article’s abstract here.)

For those of you who aren’t familiar with Depo (aka DMPA), it is a progestin-based hormonal contraceptive method that is injected every three to four months by a healthcare professional, intramuscularly (in upper buttocks or upper arm). It is more than 99% effective in preventing pregnancy, though it does not protect against sexually transmitted infections.

Depo is routinely given in healthcare settings intramuscularly, though another formulation exists that can be administered subcutaneously into fatty tissue in the belly or upper thigh.

The objective of the study was to assess feasibility and acceptability of self-injecting the subcutaneous method, Depo SubQ. Subjects were enrolled in one of two health centers, were taught self-injection by research staff, and after successfully injecting in the health center, were sent home with three additional doses of the medication for at-home use. Subjects were then asked to complete a short survey regarding their experience with self-injection, including how easy/difficult it was, how willing/unwilling they were to recommend the method to a friend, whether they had any side-effects, and how satisfied/unsatisfied they were with the method.

Survey results concluded that participants felt the method was convenient (95%), easy (87%) and recommendable to others (94%). Twenty percent of injections were met with difficulty, most commonly cited as plunger resistance.

Though we do not currently offer this formulation of Depo in our health centers, it has already been approved for use by the FDA and we hope our contribution will lead to better uptake of the method.

We are very proud to have contributed to such a respected scientific journal, and look forward to continuing to contribute to the reproductive science community! We’re Planned Parenthood – and we’re more than you think!

So, would you be willing to self-inject your birth control method?